Among the men with NAFLD, the ORs of LSMM for lean NAFLD were consistent after stepwise adjustment for age, DM, hypertension, and WC (Model 1: OR, 10.99; 95% CI, 7.13–17.30; p < 0.001); for the presence of IR and CRP (Model 2: OR, 11.12; 95% CI, 7.19–17.55; p < 0.001); and for serum alanine aminotransferase, gamma-glutamyl transferase, triglyceride levels, and platelet count (Model 3: OR, 11.12; 95% CI, 7.19–17.55; p < 0.001). Here, CRP is linked to metabolic dysfunction-associated steatotic liver disease.